Dental separator apparatus and method

ABSTRACT

A tooth separator apparatus, according to one embodiment, includes a tong having two resilient arms that are biased in an open position and having a wedge at each end of each arm. A drive shaft moves a compression member to overcome the resiliency of the arms and move them and the wedges in a closing direction for separating the teeth. The drive shaft can also move the compression member in the opposite direction to release the closing force on the arms and thereby permit their resiliency to allow them and the wedges to move to an open position.

CROSS REFERENCE TO RELATED APPLICATION

This application is a divisional of, and claims the benefit of priorityfrom U.S. application Ser. No. 13/174,099, entitled “Dental SeparatorApparatus and Method”, filed on Jun. 30, 2011, which such application isincorporated herein by reference in its entirety.

1. FIELD OF INVENTION

This relates to dental devices and methods. More specifically thisrelates to devices and methods for temporarily separating adjacent teethin order to permit various dental procedures on one or both of theseteeth.

2. BACKGROUND

One challenge facing dentists while treating patients is that presentedby cavities that are found at an interproximal location. In order toremove the decayed portion of a tooth with a drill and to fill the toothwith a filler material, it often is necessary to temporarily separatethe adjacent teeth in order to provide adequate space to allow forshrinkage of the filler material and to maintain a tight contact betweenthe adjacent teeth.

Small wooden wedges often are used in conjunction with a matrix foil ofsome type to seal the gingival portion of the preparation. The matrixfoil is used to restore the contour of the tooth to that which existedprior to the decay. Known devices which separate adjacent teeth applypressure to the matrix foil between the adjacent teeth and hold thewooden wedge in place to seal the gingival margin of the preparation.This allows for temporarily separating or creating a greater spacebetween the adjacent teeth which in turn allows for placement of thefiller material. When the separators are removed the teeth return totheir previous position. However because of the space created by theseparators and the filler material that is placed on the tooth, a tightcontact between the adjacent teeth should exist after the dentalprocedure is completed even if there previously had not been tightcontact prior to the commencement of the procedure.

Known devices for temporarily separating adjacent teeth include dentalrings. A dental ring is a metal device having a generally circular,open-ended shape with a flange at each end of the ring. A pair of manualforceps is used to grasp the ring and force it open thus spreading apartthe flanges. The ring is then positioned around one of the two adjacentteeth with the forceps, and when the forceps are released, the flangesact to separate the teeth. However dental rings have disadvantages inthat they and the forceps can be clumsy to work with, and a dentist'svision sometimes can be blocked when placing a ring around a tooth incertain locations in a patient's mouth. Also it sometimes happens thatwhile being inserted into a patient's mouth, the forceps lose their gripon the rings which results in the rings snapping away from the forcepsand lodging at unintended locations in the mouth. Also certain types ofrings cannot be used with certain matrices, such as the Tofflemirematrix system, due to the interference of these rings with thesematrices.

SUMMARY OF THE ILLUSTRATED EMBODIMENTS

Broadly speaking, certain embodiments of the invention relate to a toothseparator apparatus that includes a pair of tongs having two armsconstructed of a resilient material and having a wedge disposed at theend of each arm. An expander member is coupled to the two arms, and adrive shaft is coupled to the expander member. When a user, such as adentist, moves or rotates the drive shaft, the expander member is movedinto a position which causes the two arms and wedges to separate fromone another by a distance sufficient to permit the arms and wedges to beinserted in a patient's mouth and positioned adjacent to interdentalsurfaces of two teeth that are to be separated. When the user rotatesthe drive shaft in the reverse direction, the expander member returns toits original position thereby releasing the separating force on theresilient arms and permitting them and the wedges to move in a closingdirection with sufficient force to separate the adjacent teeth.

In an alternative embodiment, the resilient arms are biased in an openposition. A drive shaft moves a compression member to overcome theresiliency of the arms and move them and the wedges in a closingdirection for separating the teeth. The drive shaft can also move thecompression member in the opposite direction to release the closingforce on the arms and thereby permit their resiliency to allow them andthe wedges to move to an open position.

According to one embodiment an apparatus comprises a pair of tongshaving a proximate end and a distal end, and having a first armconnected to a second arm at the proximate end of the tongs. The firstarm has a first arm end and the second arm has a second arm end, both ofwhich are disposed at the distal end of the tongs. An actuator isattached to the tongs and operable to exert a spreading force on thefirst and second arms. The actuator is configured to maintain thespreading force on the first and second arms when the user is notgrasping the actuator, and is further operable to release the spreadingforce from the first and second arms. The first and second arms areconfigured so that when the separating force is exerted by the actuator,the first and second arms are separated by a distance sufficient toallow for insertion of the first and second arm ends into the mouth andfor placement of the first and second arm ends between the adjacentteeth. The first and second arms are constructed of a resilient materialand are formed to bias the first and second arm ends toward each otherwith sufficient closing force to separate the adjacent teeth when theactuator releases the separating force from the first and second arms.

In another aspect, the actuator is a drive shaft coupled to the firstand second arms and configured for movement between a first position anda second position. The drive shaft is further configured to exert theseparating force on the first and second arms when the drive shaft is inthe first position and to remove the separating force from the first andsecond arms when the drive shaft is moved from the first position to thesecond position.

In yet another aspect, the actuator includes an expander member coupledto the first and second arms. The expander member is disposed betweenthe first and second arms and configured to exert the separating forceon the first and second arms.

In yet another aspect, the first and second arms are shaped such thatwhen the separating force is not exerted on them, the first and secondarms are separated by a first distance at a first location of the tongsand by a second distance at a second location of the tongs, wherein thefirst distance is less than the second distance. The expander member isdisposed adjacent to the first location of the tongs when the spreadingforce is exerted by the expander member and disposed adjacent to thesecond location of the tongs when the spreading force is not exerted bythe expander member.

In yet another embodiment, an apparatus comprises a pair of tongs havinga proximate end and a distal end, and further having a first armconnected to a second arm at the tongs' proximate end. The first arm hasa first arm end and the second arm has a second arm end, both of whichare disposed at the distal end of the tongs. The apparatus furtherincludes means for exerting a spreading force on the first and secondarms and means for maintaining the spreading force on the first andsecond arms when the user is not grasping the tongs, and for releasingthe spreading force from the first and second arms. The first and secondarms are configured so that when the separating force is exerted, thefirst and second arms are separated by a distance sufficient to allowfor insertion of the first and second arm ends into a mouth of a patientand for placement of the first and second arm ends between adjacentteeth in the patient's mouth. The first and second arms are formed tobias the first and second arm ends toward each other with sufficientclosing force to separate the adjacent teeth when the separating forceis released from the first and second arms.

In yet another alternative embodiment, a method of forcing apartadjacent teeth of a dental arch of a mouth includes inserting at least aportion of a pair of tongs into the mouth. The tongs have a proximateend and a distal end, and further have a first arm connected to a secondarm at the proximate end. The first and second arms are constructed of aresilient material for biasing the first and second arms in a closingdirection. The first arm has a first arm end and the second arm has asecond arm end, both of which are disposed at the distal end of thetongs. The first and second arm ends are positioned adjacent tointerdental surfaces of the adjacent teeth. A drive shaft, which iscoupled to the first and second arms, is moved from a first position toa second position thereby removing a separating force from the resilientfirst and second arms and thereby allowing the first and second arm endsto move toward each other with sufficient closing force to separate theadjacent teeth.

In one aspect, the drive shaft is moved from the second position to thefirst position thereby exerting the separating force on the first andsecond arms and moving the first and second arm ends apart from eachother. These ends are moved apart by a distance sufficient to allow forremoval of the first and second arm ends from a position that isadjacent to interdental surfaces of the adjacent teeth and to allow forremoval of the at least the portion of the tongs from the mouth.

In another aspect, the moving of the drive shaft from the first positionto the second position moves an expander member that is coupled to thedrive shaft and slidably engaged with the first and second arms. Theexpander member is disposed between the first and second arms andconfigured to exert the separating force when the drive shaft is in thefirst position and to release the separating force when the drive shaftis moved from the first position to the second position.

In yet another embodiment, the apparatus comprises a pair of tongs and adrive shaft. The tongs have a proximate end and a distal end and furtherhave a first arm connected to a second arm at the proximate end. Thefirst arm has a first arm end and the second arm has a second arm end,both of which are disposed at the distal end of the tongs. The driveshaft is coupled to the first and second arms and configured formovement between a first position and a second position. The drive shaftis further configured to exert a closing force on the first and secondarms when the drive shaft is moved from the second position to the firstposition thereby moving the first and second arm ends toward each otherwith sufficient closing force to separate the adjacent teeth. The driveshaft is further configured remove the closing force from the first andsecond arms when the drive shaft is moved from the first position to thesecond position. The first and second arms are constructed of aresilient material for biasing the first and second arm ends away fromeach other when the closing force is removed from them, therebyseparating the first and second arm ends by a distance sufficient toallow for insertion of the first and second arm ends into the mouth andfor placement of the first and second arm ends between the adjacentteeth.

In another aspect, the drive shaft is coupled to the first and secondarms with a compression member that is configured for slidableengagement with the first and second arms. The compression member isdisposed between the first and second arms and configured to exert theclosing force when the drive shaft is in the first position and torelease the closing force when the drive shaft is moved from the firstposition to the second position.

In yet another aspect, the first and second arms are shaped such thatwhen the closing force is not exerted on the first and second arms, theyare separated by a first distance at a first location of the tongs andby a second distance at a second location of the tongs, wherein thefirst distance is greater than the second distance. The compressionmember is disposed adjacent to the first location of the tongs when thedrive shaft is in the first position and disposed adjacent to the secondlocation of the tongs when the drive shaft is in the second position.

In yet another aspect, the tongs have a center portion disposed betweenthe tongs proximate end and the tongs distal end. The first and secondarms are shaped such that when the closing force is not exerted on them,they are separated by a first distance at the center portion of thetongs and by a second distance at the proximate end of the tongs,wherein the first distance is greater than the second distance. Thecompression member is disposed adjacent to the proximate end of thetongs when the drive shaft is in the second position and disposedadjacent to the center portion of the tongs when the drive shaft is inthe first position.

In yet another embodiment, the apparatus comprises a pair of tongshaving a proximate end and a distal end, and further having a first armconnected to a second arm at the proximate end of the tongs. The firstand second arms are constructed of a resilient material for biasing thefirst and second arms in an opening direction. The first arm has a firstarm end and the second arm has a second arm end, both of which aredisposed at the distal end of the tongs. The apparatus further includesmeans for exerting a closing force on the first and second arms, formaintaining the closing force on the first and second arms when the useris not grasping the tongs, and for releasing the closing force from thefirst and second arms. The first and second arms are configured so thatwhen the closing force is released, they are separated by a distancesufficient to allow for insertion of the first and second arm ends intothe mouth and for placement of the first and second arm ends between theadjacent teeth.

In yet another embodiment, at least a portion of a pair of tongs isinserted into a mouth of a patient. The tongs have a proximate end and adistal end and are comprised of a first arm connected to a second arm atthe proximate end. The first arm has a first arm end and the second armhas a second arm end, both of which are disposed at the distal end ofthe tongs. The first and second arms are constructed of a resilientmaterial for biasing the first and second arms in an opening direction.The first and second arm ends are positioned adjacent to interdentalsurfaces of the adjacent teeth. A drive shaft is moved from a secondposition to a first position thereby providing a closing force on thefirst and second arms and moving the first and second arm ends towardeach other with sufficient force to separate the adjacent teeth. Thedrive shaft is coupled to the first and second arms and configured formovement between the first position and the second position.

In another aspect, the drive shaft is moved from the first position tothe second position thereby removing the closing force on the first andsecond arms and thereby allowing the first and second arm ends to moveapart from each other by a distance sufficient to allow for theirremoval from the position that is adjacent to the interdental surfacesof the adjacent teeth and to allow for removal of the at least theportion of the tongs from the mouth.

In another aspect, the moving of the drive shaft from the secondposition to the first position includes moving a compression membercoupled to the drive shaft and slidably engaged with the first andsecond arms. The compression member is disposed between the first andsecond arms and configured to exert the closing force when the driveshaft is in the first position and to remove the closing force when thedrive shaft is moved from the first position to the second position.

There are additional aspects to the present inventions. It shouldtherefore be understood that the preceding is merely a brief summary ofsome embodiments and aspects of the present inventions. Additionalembodiments and aspects are referenced below. It should further beunderstood that numerous changes to the disclosed embodiments can bemade without departing from the spirit or scope of the inventions. Thepreceding summary therefore is not meant to limit the scope of theinventions. Rather, the scope of the inventions is to be determined byappended claims and their equivalents.

BRIEF DESCRIPTION OF THE DRAWINGS

These and/or other aspects and advantages of the present invention willbecome apparent and more readily appreciated from the followingdescription of certain embodiments, taken in conjunction with theaccompanying drawings of which:

FIG. 1 is a bottom plan view of a tooth separator apparatus inaccordance with one embodiment of the invention;

FIG. 2 is a top perspective view of the tooth separator apparatus ofFIG. 1;

FIG. 3 is a perspective view of the tooth separator apparatus of FIG. 1showing its position above adjacent teeth that are to be restored;

FIG. 4 is a top plan view of a tooth separator apparatus in accordancewith another embodiment of the invention;

FIG. 5 is a bottom perspective view of the tooth separator apparatus ofFIG. 4; and

FIG. 6 is a top perspective view of the arms and a removable wedge of atooth separator apparatus in accordance with another embodiment of theinvention.

DETAILED DESCRIPTION

The following description is of the best mode presently contemplated forcarrying out the invention. Reference will be made in detail toembodiments of the present invention, examples of which are illustratedin the accompanying drawings, wherein like reference numerals refer tolike elements throughout. It is understood that other embodiments may beused and structural and operational changes may be made withoutdeparting from the scope of the present invention.

FIGS. 1, 2 and 3 show a separator apparatus 102 for use in temporarilyforcing apart adjacent teeth 160 in a dental arch 162 of a mouthaccording to an embodiment of the invention. This can be used along witha wood wedge (not shown) so that the separator apparatus 102 separatesthe adjacent teeth 160 to allow for the shrinkage of the compositematerial between the teeth 160 and so that the wood wedge can hold amatrix foil in position. Alternatively the separator apparatus 102 canbe used without a wood wedge so that the separator apparatus 102 itselfmaintains the tooth separation while a user, such as a dentist, performsdental restorative work. The separator apparatus 102 is comprised of apair of tongs 104, an expander member 108, and a drive shaft 106 havinga knob 144. In the illustrated embodiment the tongs 104 are about 1.875inches in length, and the drive shaft 106 is about 1.75 inches inlength. The face profile of the illustrated expander member 108 is about0.25 inches in width (extending longitudinally with respect to theseparator apparatus 102) and about 0.5 inches in length (extendingtransversely with respect to the separator apparatus 102) as seen in theplan view of FIG. 1. However alternative embodiments of the inventioncan include components having other dimensions without departing fromthe spirit of the inventions.

The tongs 104 have a proximate end 110, a distal end 112 and a centerportion 114 disposed between the proximate and distal ends 110, 112. Thetongs 104 further have a housing 116 that is disposed at the proximateend 110 and that defines a longitudinally-oriented port having internalthreads. The tongs 104 also have a first arm 118 connected to a secondarm 120 at the proximate end 110 of the tongs 104. The first arm 118 hasa first arm end 119, and the second arm 120 has a second arm end 121,both of which are disposed at the distal end 112 of the tongs 104. Afirst wedge 122 is connected to the first arm end 119 and a second wedge124 is connected to the second arm end 121. Each of the first and secondwedges 122, 124 has a shape that is configured to engage interdentalsurfaces of the adjacent teeth 160. Wedges, such as the first and secondwedges 122, 124, are sometimes referred to as end point tools,interchangeable end points, embrasure holding pins, separating embrasureends, accessory attachments, hard points, attached points, and toolpoints.

As viewed from the bottom as in FIG. 1, the first and second arms 118,120 are curve-shaped such that they curve inward as they extend from theproximate end 110 of the tongs 104 to the tongs center portion 114 andthen flare outward as they continue in extension from the tongs centerportion 114 toward the tongs distal end 112 at which location they curveinward so that the first and second wedges 122, 124 point toward eachother. Thus when the expander member 108 is positioned near theproximate end 110 of the tongs 104 as shown in FIG. 1, the arms areseparated by a first distance d₁ at the center portion 114 of the tongs104 and by a second distance d₂ that is greater than the first distanced₁ and that is at a location that is closer to the proximate end 110 ofthe tongs 104. The first and second arms 118, 120 are constructed of aresilient material such as, for example, stainless steel, nitinol ortitanium, and alternatively can be constructed of other resilientmaterials, as well.

As best seen in FIG. 2, the knob 144 of the drive shaft 106 and thefirst and second wedges 122, 124 provide three imaginary points definingan imaginary plane (not shown in FIG. 2) above which the entireseparator apparatus 102 extends. Thus the first and second arms 118, 120are shaped so that they curve in a downward direction as they extendfrom the center portion 114 of the tongs 104 toward the tongs distal end112. This downward curve facilitates the placement of the first andsecond arms 118, 120 over a lip of a patient's mouth so that the firstand second wedges 122, 124 can be more easily oriented between adjacentteeth.

The expander member 108 is comprised of a rigid piece having a generallyrectilinear-shaped profile when viewed from a top or bottom plan view ofthe separator apparatus 102. The expander member 108 defines a firstgroove 134 configured to slidably mate with the first arm 118 of thetongs 104 and a second groove 136 configured to slidably mate with thesecond arm 120.

The drive shaft 106 has external axial threads 126 configured torotatably engage the internal threads of the housing 116 of the tongs104. Thus the drive shaft 106 is configured for a generally linear,generally longitudinal movement between a first position and a secondposition in response to a rotation of the drive shaft 106 within thetongs housing 116. In the illustrated embodiment the second position isthe position of the drive shaft 106 as it is shown in FIGS. 1 and 2,i.e., where the drive shaft 106 is positioned as far as possible awayfrom the tongs distal end 112. The first position, on the other hand, isa position where the drive shaft 106 has advanced in a direction towardthe tongs distal end 112 to a point where the expander member 108 isdisposed adjacent to the tongs center portion 114 and where a distal endof the drive shaft 106 (i.e., the end furthest from the knob 144) wouldbe located at about the position shown at reference numeral 128 of FIG.1.

The expander member 108 is coupled to the drive shaft 106 by a balljoint 132 so that the expander member 108 moves in a generally linear,generally longitudinal direction in response to the movement of thedrive shaft 106. In the illustrated embodiment, the ball joint 132 iscomprised of a spherical portion 146 formed adjacent to the distal endof the drive shaft 106 and a cavity 148 defined by the expander member108. The spherical portion 146 is configured to seat within the cavity148 so that the spherical portion 146 can freely rotate within thecavity 148. While the spherical portion 146 and the cavity 148 areexposed to view in the illustrated embodiment, alternative embodimentsinclude a cover (not shown) attached to the expander member 108 so thatthe spherical portion 146 and the cavity 148 are enclosed by the coverand are not exposed to view.

When the drive shaft 106 is moved from the second position to the firstposition, the expander member 108 slides from a position that isadjacent to the proximate end 110 of the tongs 104 (as illustrated inFIGS. 1 and 2) to a position adjacent to the center portion 114 of thetongs 104. Because the center portion 114 of the tongs 104 is thelocation where the first and second arms 118, 120 are separated by therelatively short first distance d₁ that is less than the second distanced₂, this movement of the expander member 108 presses outward against theresilient first and second arms 118, 120 and exerts a separating forceon them, thereby causing the arms as well as the first and second wedges122, 124 to move apart. When the expander member 108 is positionedadjacent to the tongs center portion 114, the arms and wedges areseparated by a distance sufficient to allow for their insertion into thepatient's mouth and for placement of the wedges 122, 124 between theadjacent teeth 160 as illustrated by the broken lines of FIG. 3. On theother hand when the drive shaft 106 is rotated in the reverse directionso that it is moved from the first position to the second position, theexpander member 108 slides in the reverse direction toward the proximateend 110 of the tongs 104. This thereby removes the separating force fromthe first and second arms 118, 120, and allows them and the wedges tomove in a closing direction due to the resiliency of the first andsecond arms 118, 120. Thus the drive shaft 106 and the expander member108 comprise means for exerting a spreading force on the first andsecond arms 118, 120, for maintaining this spreading force when the useris not grasping the tongs 104 or any other component of the separatorapparatus 102, and for releasing the spreading force.

The first and second arms 118, 120 are formed to bias the first andsecond wedges 122, 124 toward each other with sufficient closing forceto separate the adjacent teeth when the separating force is removed.However when the separating force is removed, a gap 138 remains betweenthe first and second wedges 122, 124, and their closing force is limitedto no more than a predetermined amount in order to reduce the chance ofdamaging the teeth which might otherwise happen if the closing force isexcessive. In the illustrated embodiment the first and second arms 118,120 are configured to provide a closing force of twenty (20) pounds at afour (4) millimeter separation. However alternative embodiments mayincorporate closing forces of different magnitudes without departingfrom the spirit of the inventions. The illustrated embodiment isadvantageous in that regardless of how much manual twisting is exertedon the drive shaft 106, the separator apparatus 102 will only exert themaximum predetermined separation force on the adjacent teeth 160 thusreducing the chance of damaging them. This embodiment is alsoadvantageous in that once the first and second arms 118, 120 areseparated, the spreading force can be maintained on the arms when theuser is not grasping the tongs 104 or any other part of the separatorapparatus 102, thus providing ease of use.

In the illustrated embodiment, the tongs 104, the housing 116, the firstand second arms 118, 120, and the first and second wedges 122, 124 areconstructed of metal and are monolithically formed. However inalternative embodiments, the wedges are removably attached to the arms.FIG. 6 illustrates an alternative embodiment whereby each of two arms150 of a pair of tongs terminates in a post 152 that is monolithicallyformed with each arm 150. A wedge 154 defines a groove 156 that can matewith the post 152 so that the wedge 154 can slide onto the post 152 in adirection that is generally transverse to a direction of movement of theposts 152 as the arms 150 move in an open or closed direction. Thus bybeing configured to slidably engage the arms 150, a plurality ofdifferent wedges or other tools having different profiles, shapes orfunctions can easily be used with a single separator apparatus therebypermitting its use for different dental procedures or for a wide varietyof tooth profiles. While FIG. 6 illustrates one means for removablyattaching wedges to arms, other means for accomplishing this includesaccessory sockets, tool bits in chucks, tool templates, frictionfittings, and precision attachments.

Referring again to FIGS. 1 and 2, in operation a user grasps the knob144 with his/her fingers and rotates it and the drive shaft 106 so thatthe expander member 108 slides from the location adjacent to theproximate end 110 of the tongs 104 to the location adjacent to the tongscenter portion 114. As the expander member 108 moves, it exerts aspreading force on the resilient first and second arms 118, 120 therebyexpanding or spreading them and the first and second wedges 122, 124apart. Once the expander member 108 is positioned adjacent to the tongscenter portion 114 and the first and second wedges 122, 124 are spreadapart, the user no longer needs to grasp the knob 144 or any otherportion of the drive shaft 106 or the tongs 104 in order to maintain theseparation of the first and second wedges 122, 124.

Next the user inserts the wedges 122, 124 and a portion of the first andsecond arms 118, 120 into the mouth of a patient, and then positions thewedges 122, 124 adjacent to interdental surfaces of the adjacent teeththat are to be separated. The user then grasps the knob 144 and rotatesthe drive shaft 106 in the opposite direction, thereby sliding theexpander member 108 back to its starting position adjacent to the tongsproximate end 110. As the expander member 108 moves to this position,the separating force is removed from the first and second arms 118, 120.The resiliency of the first and second arms 118, 120 causes them and thefirst and second wedges 122, 124 to move toward each other in a closingdirection thereby exerting a closing force on these wedges that issufficient to separate the adjacent teeth. After the dental work iscompleted on one or both of the adjacent, separated teeth, the useragain rotates the knob 144 and the drive shaft 106 so that the expandermember 108 slides to the position that is adjacent to the tongs centerportion 114. This causes the first and second wedges 122, 124 to againseparate from one another so that they can be removed from contact withthe adjacent teeth and can be easily removed from the patient's mouth.

While the drive shaft 106 and the expander member 108 of FIGS. 1-3constitute one type of actuator that is operable to exert the spreadingforce on the tongs 104, alternative embodiments include other types ofactuators for spreading the arms of tongs and for maintaining thisspreading force when users are not grasping these actuators.

The embodiment of FIGS. 1-3 generally involves a separator apparatushaving resilient arms that are biased in a closed direction so that anactuator can move and overcome the resiliency of the arms in order tospread them apart. Alternative embodiments, on the other hand, include aseparator apparatus having resilient arms that are biased in an openeddirection so that an actuator can move and overcome their resiliency inorder to force the arms in a closing direction. FIGS. 4 and 5 show sucha separator apparatus 202 for use in temporarily separating adjacentteeth according to another embodiment of the invention. The separatorapparatus 202 is comprised of a pair of tongs 204, a compression member208, and a drive shaft 206 having a knob 244. These components of theseparator apparatus 202 have approximately the same overall dimensionsand are constructed of the same materials as the correspondingcomponents described above for the embodiment of FIGS. 1-3. Referringstill to FIGS. 4-5, the tongs 204 have a proximate end 210, a distal end212 and a center portion 214 disposed between the proximate and distalends 210, 212. The tongs 204 further have a housing 216 that is disposedat the proximate end 210 and that defines a longitudinally-oriented porthaving internal threads. The tongs 204 also have a first arm 218connected to a second arm 220 at the proximate end 210 of the tongs 204.The first arm 218 has a first arm end 219, and the second arm 220 has asecond arm end 221, both of which are disposed at the distal end 212 ofthe tongs 204. A first wedge 222 is connected to the first arm end 219,and a second wedge 224 is connected to the second arm end 221. Each ofthe first and second wedges 222, 224 has a shape that is configured toengage interdental surfaces of the adjacent teeth and are generally thesame as the wedges described above in connection with FIGS. 1-3.

As viewed from the top as in FIG. 4, the first and second arms 218, 220are shaped such that they are separated by a progressively increasingdistance as they extend from the proximate end 210 of the tongs 204 tothe tongs center portion 214 and from the center portion 214 toward thetongs distal end 212 at which location the first and second arms 218,220 curve inward so that the first and second wedges 222, 224 pointtoward each other. Thus when the compression member 208 is positionednear the proximate end 210 of the tongs 204 as shown in FIG. 4, the armsare separated by a first distance d₁ at the center portion 214 of thetongs 204 and by a second distance d₂ that is less than the firstdistance d₁ and that is at a location that is closer to the proximateend 210 of the tongs 204.

As best seen in FIG. 5, the knob 244 of the drive shaft 206 and thefirst and second wedges 222, 224 provide three imaginary points definingan imaginary plane (not shown) below which the entire separatorapparatus 202 extends when viewed from the bottom. Thus as viewed fromthe bottom the first and second arms 218, 220 are shaped so that theycurve in an upward direction as they extend from the center portion 214of the tongs 204 in a direction toward the tongs distal end 212. Thisupward curve facilitates the placement of the first and second arms 218,220 over a lip of a patient's mouth (when the separator apparatus 202 isoriented as shown in FIG. 4) so that the first and second wedges 222,224 can be more easily oriented between adjacent teeth.

The compression member 208 is comprised of a rigid piece having agenerally rectilinear-shaped profile when viewed from a top or bottomplan view of the separator apparatus 202. The compression member 208defines a first channel 234 configured to slidably mate with the firstarm 218 of the tongs 204 and a second channel 236 configured to slidablymate with the second arm 220. Each of the first and second channels 234,236 is formed in part by an outer wall 247, or flange, that extendsaround an outside portion of each of the first and second arms 218, 220as best seen in FIG. 5.

The drive shaft 206 has external axial threads 226 configured torotatably engage the internal threads of the housing 216 of the tongs204. Thus the drive shaft 206 is configured for a generally linear,generally longitudinal movement between a first position and a secondposition in response to a rotation of the drive shaft 206 within thetongs housing 216. In the illustrated embodiment the second position isthe position of the drive shaft 206 as it is shown in FIGS. 4 and 5,i.e., where the drive shaft 206 is positioned as far as possible awayfrom the tongs distal end 212. The first position, on the other hand, isa position where the drive shaft 206 has advanced in a direction towardthe tongs distal end 212 to a point where the compression member 208 isdisposed adjacent to the tongs center portion 214 and where a distal endof the drive shaft 206 (i.e., the end furthest from the knob 244) wouldbe located at about the position shown at reference numeral 228 of FIG.4.

The compression member 208 is coupled to the drive shaft 206 by a balljoint 232 so that the compression member 208 moves in a generallylinear, generally longitudinal direction in response to the movement ofthe drive shaft 206. In the illustrated embodiment, the ball joint 232is comprised of a spherical portion 246 formed adjacent to the distalend of the drive shaft 206 and a cavity 248 defined by the compressionmember 208. The spherical portion 246 is configured to seat within thecavity 248 so that the spherical portion 246 can freely rotate withinthe cavity 248. While the spherical portion 246 and the cavity 248 areexposed to view in the illustrated embodiment, alternative embodimentsinclude a cover (not shown) attached to the compression member 208 sothat the spherical portion 246 and the cavity 248 are enclosed by thecover and are not exposed to view.

When the drive shaft 206 is moved from the second position to the firstposition, the compression member 208 slides from a position that isadjacent to the proximate end 210 of the tongs 204 (as illustrated inFIGS. 4 and 5) to a position adjacent to the center portion 214 of thetongs 204. Because the center portion 214 of the tongs 204 is a locationwhere the first and second arms 218, 220 are separated by the relativelylarge first distance d₁ that is greater than the second distance d₂,this movement of the compression member 208 results in the outer wall247 of each of the first and second channels 234, 236 acting to pressinward or compress against the resilient first and second arms 218, 220thereby overcoming their resiliency and exerting a closing force on themas well as on the first and second wedges 222, 224.

Prior to moving the drive shaft 206 from the second position to thefirst position, the arms and wedges are separated by a distancesufficient to allow for their insertion into the patient's mouth and forplacement of the wedges 222, 224 between the adjacent teeth. On theother hand when the drive shaft 206 is rotated so that it is moved fromthe second position to the first position, the compression member 208slides in a direction toward the distal end 212 of the tongs 204 andthereby imposes the closing force on the first and second arms 218, 220,thus allowing them and the wedges to move in the closing direction withsufficient force to separate the adjacent teeth. On the other hand whenthe drive shaft 206 is rotated in the opposite direction so that it ismoved from the first position to the second position, the compressionmember 208 slides toward the proximate end 240 of the tongs 204, andthereby removes the closing force on the first and second arms 218, 220and the first and second wedges 222, 224 so that they are no longer incontact with the adjacent teeth and can be easily removed from thepatient's mouth. Thus the drive shaft 206 and the compression member 208comprise means for exerting a closing force on the first and second arms218, 220, for maintaining the closing force when a user is not graspingthe tongs 204 or any other part of the separator apparatus 202, and forreleasing the closing force.

As previously mentioned the first and second arms 218, 220 areconstructed of a resilient material. They are formed to bias the firstand second wedges 222, 224 away from each other when the compressionforce is removed thereby separating the first and second wedges 222, 224by a distance sufficient to allow for their insertion into the patient'smouth and for placement of the first and second wedges between theadjacent teeth.

In the illustrated embodiment, the tongs 204, the housing 216, the firstand second arms 218, 220, and the first and second wedges 222, 224 areconstructed of metal and are monolithically formed. However inalternative embodiments, the wedges are removably attached to the arms.For example the wedges could be removably attached in the same manner asdescribed above in connection with FIG. 6 or in connection with theother described embodiments.

According to an alternative embodiment of a separator apparatus, eitherthe first arm 218 or the second arm 220 or both have a mechanical stopconfigured to prevent the compression member 208 from continuing toslide any further in the generally longitudinal direction toward thedistal end 212 of the tongs 204. The mechanical stop could include anytype of shoulder or protuberance that extends outwardly from one or bothof the first and second arms 218, 220 so that it would act to block anyfurther sliding movement of the compression member 208 and prevent anyfurther closing of the first and second wedges 222, 224. In yet anotherembodiment, any further closing of the first and second wedges 222, 224is prevented by a mechanical stop disposed on or adjacent to theexternal threads 226 of the drive shaft 206. This stop could include anytype of shoulder or protuberance that would extend outwardly from thethreads 226 for a distance sufficient to abut the housing 216 of thetongs 204 and prevent the drive shaft 206 from continuing to rotate andmove any further in the generally longitudinal direction toward thedistal end 212 of the tongs 204 when the drive shaft 206 reaches thefirst position. The foregoing embodiments having the mechanical stopsare advantageous in that regardless of how much twisting force isexerted on the drive shaft 206, the separator apparatus 202 will onlyexert a maximum predetermined separation force on the adjacent teeththus reducing the chances of causing harm to them.

In operation a user grasps the knob 244 with his/her fingers and rotatesit and the drive shaft 206 so that the compression member 208 slidesfrom the location adjacent to the center portion 214 of the tongs 204 tothe location adjacent to the tongs proximate end 210. As the compressionmember 208 moves, it releases a compression force that had been exertedon the resilient first and second arms 218, 220 thereby allowing themand the first and second wedges 222, 224 to spread apart. Once thecompression member 208 is positioned adjacent to the tongs proximate end210 and the first and second wedges 222, 224 are spread apart, the userno longer needs to touch the knob 244 or any other portion of the driveshaft 206 or the tongs 204 in order to maintain the separation of thefirst and second wedges 222, 224.

Next the user inserts the first and second wedges 222, 224 and a portionof the first and second arms 218, 220 into the mouth of a patient, andthen positions the first and second wedges 222, 224 adjacent tointerdental surfaces of the adjacent teeth that are to be separated. Theuser then grasps the knob 244 and rotates it and the drive shaft 206 inthe opposite direction, thereby sliding the compression member 208 backto its starting position that is adjacent to the tongs center portion214. As the compression member 208 moves to this position, a compressionor closing force is exerted on the first and second arms 218, 220 whichovercomes their resiliency and causes them and the first and secondwedges 122, 124 to move toward each other in a closing direction therebyexerting a closing force on the wedges that is sufficient to separatethe adjacent teeth. After the dental work is completed on one or both ofthe adjacent, separated teeth, the user again rotates the knob 244 anddrive shaft 206 so that the compression member 208 slides to theposition that is adjacent to the tongs proximate end 210, therebypermitting the resiliency of the first and second arms 218, 220 to movethem apart and to separate the first and second wedges 222, 224 so thatthey can be removed from contact with the adjacent teeth and can beeasily removed from the patient's mouth.

In view of the above, it will be appreciated that certain embodiments ofthe invention overcome many of the long-standing problems in the art byproviding a tooth separator apparatus that includes a pair of tongshaving two arms constructed of a resilient material and having a wedgedisposed at the end of each arm. An expander member is coupled to thetwo arms, and a drive shaft is coupled to the expander member. When auser moves or rotates the drive shaft, the expander member is moved intoa position that causes the two arms and wedges to separate from oneanother by a distance sufficient to permit the wedges to be inserted ina patient's mouth and positioned adjacent to the interdental surfaces oftwo teeth that are to be separated. When the user rotates the driveshaft in the reverse direction, the expander member returns to itsoriginal position thereby releasing the separating force on theresilient arms and permitting them and the wedges to move in a closingdirection with sufficient force to separate the adjacent teeth.

In an alternative embodiment, the resilient arms are biased in an openposition. A drive shaft moves a compression member to overcome theresiliency of the arms and move them and the wedges in a closingdirection for separating the teeth. The drive shaft can also move thecompression member in the opposite direction to release the closingforce on the arms and thereby permit their resiliency to allow them andthe wedges to move to an open position.

While the description above refers to particular embodiments of thepresent invention, it will be understood that many modifications may bemade without departing from the spirit thereof. The claims are intendedto cover such modifications as would fall within the true scope andspirit of the present invention. The presently disclosed embodiments aretherefore to be considered in all respects as illustrative and notrestrictive, the scope of the invention being indicated by the claimsrather than the foregoing description, and all changes which come withinthe meaning and range of equivalency of the claims are thereforeintended to be embraced therein.

1. An apparatus for forcing apart adjacent teeth of a dental arch of amouth, the apparatus comprising: tongs having a proximate end and adistal end, wherein the tongs are comprised of a first arm connected toa second arm at the proximate end, wherein the first arm has a first armend and the second arm has a second arm end, wherein the first andsecond arm ends are disposed at the distal end of the tongs; and a driveshaft coupled to the first and second arms and configured for movementbetween a first position and a second position, wherein the drive shaftis further configured to exert a closing force on the first and secondarms when the drive shaft is moved from the second position to the firstposition thereby moving the first and second arm ends toward each otherwith sufficient closing force to separate the adjacent teeth, whereinthe drive shaft is further configured remove the closing force from thefirst and second arms when the drive shaft is moved from the firstposition to the second position, wherein the first and second arms areconstructed of a resilient material for biasing the first and second armends away from each other when the closing force is removed from thefirst and second arms, thereby separating the first and second arm endsby a distance sufficient to allow for insertion of the first and secondarm ends into the mouth and for placement of the first and second armends between the adjacent teeth.
 2. The apparatus of claim 1 furthercomprising a compression member, wherein the drive shaft is coupled tothe first and second arms with the compression member, wherein thecompression member is configured for slidable engagement with the firstand second arms, and wherein the compression member is disposed betweenthe first and second arms and configured to exert the closing force whenthe drive shaft is in the first position and to release the closingforce when the drive shaft is moved from the first position to thesecond position.
 3. The apparatus of claim 2 wherein the first andsecond arms are shaped such that when the closing force is not exertedon the first and second arms, the first and second arms are separated bya first distance at a first location of the tongs and by a seconddistance at a second location of the tongs, wherein the first distanceis greater than the second distance, and wherein the compression memberis disposed adjacent to the first location of the tongs when the driveshaft is in the first position and disposed adjacent to the secondlocation of the tongs when the drive shaft is in the second position. 4.The apparatus of claim 2 wherein the tongs have center portion disposedbetween the proximate end of the tongs and the distal end of the tongs,wherein the first and second arms are shaped such that when the closingforce is not exerted on the first and second arms, the first and secondarms are separated by a first distance at the center portion of thetongs and by a second distance at the proximate end of the tongs,wherein the first distance is greater than the second distance, andwherein the compression member is disposed adjacent to the proximate endof the tongs when the drive shaft is in the second position and disposedadjacent to the center portion of the tongs when the drive shaft is inthe first position.
 5. The apparatus of claim 2 wherein the compressionmember is coupled to the drive shaft by a ball joint.
 6. The apparatusof claim 2 wherein the compression member is comprised of a rigid piececonfigured to slidably receive each of the first and second arms of thetongs.
 7. The apparatus of claim 6 wherein the compression member isconfigured to slide in a generally longitudinal direction toward thedistal end of the tongs as the drive shaft moves from the secondposition to the first position, wherein one of the first arm and thesecond arm has a mechanical stop configured to prevent the compressionmember from continuing to slide any further in the generallylongitudinal direction toward the distal end of the tongs.
 8. Theapparatus of claim 2 wherein the compression member is comprised of arigid piece that defines a first channel configured to slidably matewith the first arm of the tongs and a second channel configured toslidably mate with the second arm of the tongs.
 9. The apparatus ofclaim 2 wherein the tongs include a housing disposed at the proximateend of the tongs, wherein the housing defines a longitudinally-orientedport having internal threads, wherein the drive shaft includes externalaxial threads configured to engage the internal threads of the housing,and wherein the compression member is coupled to the drive shaft by aball joint.
 10. The apparatus of claim 9 wherein the drive shaft isconfigured to rotate so that the drive shaft moves in a generallylongitudinal direction toward the distal end of the tongs as the driveshaft moves from the second position to the first position, wherein thedrive shaft has a mechanical stop disposed adjacent to the externalthreads and configured to abut the housing of the tongs and prevent thedrive shaft from continuing to move any further in the generallylongitudinal direction toward the distal end of the tongs when the driveshaft reaches the first position.
 11. The apparatus of claim 1 whereinthe first arm end comprises a first wedge and the second arm endcomprises a second wedge.
 12. The apparatus of claim 11 wherein thetongs, the first and second arms, and the first and second wedges areintegral.
 13. The apparatus of claim 11 wherein the tongs, the first andsecond arms, and the first and second wedges are constructed of metaland are monolithically formed.
 14. The apparatus of claim 11 whereineach of the first and second wedges has a shape configured to engageinterdental surfaces of the adjacent teeth.
 15. The apparatus of claim11 wherein the first wedge is configured to slidably engage the firstarm end and the second wedge is configured to slidably engage the secondarm end, and wherein the first and second wedges are further configuredto be removed from the first and second arm ends.
 16. The apparatus ofclaim 1 further comprising: a first wedge and a second wedge; and meansfor removably attaching the first wedge to the first arm end and meansfor removably attaching the second wedge to the second arm end.
 17. Anapparatus for forcing apart adjacent teeth of a dental arch of a mouth,the apparatus comprising: tongs having a proximate end, a distal end anda housing disposed at the proximate end, wherein the tongs are comprisedof a first arm connected to a second arm at the proximate end, andwherein the housing defines a longitudinally-oriented port havinginternal threads; a first wedge connected to the first arm and a secondwedge connected to the second arm, wherein the first and second wedgesare disposed at the distal end of the tongs; a drive shaft havingexternal axial threads configured to rotatably engage the internalthreads of the housing of the tongs, wherein the drive shaft isconfigured for a generally linear movement between a first position anda second position in response to a rotation of the drive shaft; and acompression member coupled to the drive shaft by a ball joint so thatthe compression member moves in a generally linear direction in responseto the generally linear movement of the drive shaft, wherein thecompression member is comprised of a rigid piece defining a firstchannel configured to slidably mate with the first arm of the tongs anda second channel configured to slidably mate with the second arm of thetongs, wherein the drive shaft and the compression member are furtherconfigured to exert a closing force on the first and second arms whenthe drive shaft is moved from the second position to the first positionthereby moving the the first and second wedges toward each other withsufficient closing force to separate the adjacent teeth, wherein thedrive shaft and compression member are further configured to remove theclosing force from the first and second arms when the drive shaft ismoved from the first position to the second position, wherein the firstand second arms are formed to bias the first and second wedges away fromeach other when the closing force is removed from the first and secondarms, thereby separating the first and second wedges by a distancesufficient to allow for insertion of the first and second wedges intothe mouth and for placement of the first and second wedges between theadjacent teeth, wherein the first and second arms are shaped such thatwhen the closing force is not exerted on the first and second arms, thefirst and second arms are separated by a first distance at a firstlocation of the tongs and by a second distance at a second location ofthe tongs, wherein the first distance is greater than the seconddistance, and wherein the compression member is disposed adjacent to thefirst location of the tongs when the drive shaft is in the firstposition and disposed adjacent to the second location of the tongs whenthe drive shaft is in the second position.
 18. The apparatus of claim 17wherein the tongs, the housing, the first and second arms, and the firstand second wedges are constructed of metal and are monolithicallyformed.
 19. An apparatus configured to be grasped by a user and for usein forcing apart adjacent teeth of a dental arch of a mouth, theapparatus comprising: tongs having a proximate end and a distal end,wherein the tongs are comprised of a first arm connected to a second armat the proximate end of the tongs, wherein the first arm has a first armend and the second arm has a second arm end, wherein the first andsecond arm ends are disposed at the distal end of the tongs; and meansfor exerting a closing force on the first and second arms, formaintaining the closing force on the first and second arms when the useris not grasping the tongs, and for releasing the closing force from thefirst and second arms, wherein the first and second arms are configuredso that when the closing force is released, the first and second armsare separated by a distance sufficient to allow for insertion of thefirst and second arm ends into the mouth and for placement of the firstand second arm ends between the adjacent teeth, and wherein the firstand second arms are constructed of a resilient material for biasing thefirst and second arms in an opening direction.
 20. A method of forcingapart adjacent teeth of a dental arch of a mouth, the method comprising:inserting at least a portion of a pair of tongs into the mouth, whereinthe tongs have a proximate end and a distal end, wherein the tongs arecomprised of a first arm connected to a second arm at the proximate end,wherein the first arm has a first arm end and the second arm has asecond arm end, and wherein the first and second arm ends are disposedat the distal end of the tongs; positioning the first and second armends adjacent to interdental surfaces of the adjacent teeth; and movinga drive shaft from a second position to a first position therebyproviding a closing force on the first and second arms and moving thefirst and second arm ends toward each other with sufficient force toseparate the adjacent teeth, wherein the drive shaft is coupled to thefirst and second arms and configured for movement between the firstposition and the second position, and wherein the first and second armsare constructed of a resilient material for biasing the first and secondarms in an opening direction.
 21. The method of claim 20 furthercomprising moving the drive shaft from the first position to the secondposition thereby removing the closing force on the first and second armsand thereby allowing the first and second arm ends to move apart fromeach other by a distance sufficient to allow for removal of the firstand second arm ends from the position that is adjacent to theinterdental surfaces of the adjacent teeth and to allow for removal ofthe at least the portion of the tongs from the mouth.
 22. The method ofclaim 20 wherein the moving of the drive shaft from the second positionto the first position includes moving a compression member coupled tothe drive shaft and slidably engaged with the first and second arms,wherein the compression member is disposed between the first and secondarms and configured to exert the closing force when the drive shaft isin the first position and to remove the closing force when the driveshaft is moved from the first position to the second position.